nach oben

Osteoporosis International

Erschienen in:

01.05.2015 | Original Article

Systematic review and meta-analysis of the performance of clinical risk assessment instruments for screening for osteoporosis or low bone density

verfasst von: S. Nayak, D. L. Edwards, A. A. Saleh, S. L. Greenspan

Erschienen in: Osteoporosis International | Ausgabe 5/2015

Einloggen, um Zugang zu erhalten

Abstract

Summary

We performed a systematic review and meta-analysis of the performance of clinical risk assessment instruments for screening for DXA-determined osteoporosis or low bone density. Commonly evaluated risk instruments showed high sensitivity approaching or exceeding 90 % at particular thresholds within various populations but low specificity at thresholds required for high sensitivity. Simpler instruments, such as OST, generally performed as well as or better than more complex instruments.

Introduction

The purpose of the study is to systematically review the performance of clinical risk assessment instruments for screening for dual-energy X-ray absorptiometry (DXA)-determined osteoporosis or low bone density.

Methods

Systematic review and meta-analysis were performed. Multiple literature sources were searched, and data extracted and analyzed from included references.

Results

One hundred eight references met inclusion criteria. Studies assessed many instruments in 34 countries, most commonly the Osteoporosis Self-Assessment Tool (OST), the Simple Calculated Osteoporosis Risk Estimation (SCORE) instrument, the Osteoporosis Self-Assessment Tool for Asians (OSTA), the Osteoporosis Risk Assessment Instrument (ORAI), and body weight criteria. Meta-analyses of studies evaluating OST using a cutoff threshold of <1 to identify US postmenopausal women with osteoporosis at the femoral neck provided summary sensitivity and specificity estimates of 89 % (95%CI 82–96 %) and 41 % (95%CI 23–59 %), respectively. Meta-analyses of studies evaluating OST using a cutoff threshold of 3 to identify US men with osteoporosis at the femoral neck, total hip, or lumbar spine provided summary sensitivity and specificity estimates of 88 % (95%CI 79–97 %) and 55 % (95%CI 42–68 %), respectively. Frequently evaluated instruments each had thresholds and populations for which sensitivity for osteoporosis or low bone mass detection approached or exceeded 90 % but always with a trade-off of relatively low specificity.

Conclusions

Commonly evaluated clinical risk assessment instruments each showed high sensitivity approaching or exceeding 90 % for identifying individuals with DXA-determined osteoporosis or low BMD at certain thresholds in different populations but low specificity at thresholds required for high sensitivity. Simpler instruments, such as OST, generally performed as well as or better than more complex instruments.

Nur mit Berechtigung zugänglich

Lin JT, Lane JM (2004) Osteoporosis: a review. Clin Orthop Relat Res 126-134

Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A (2007) Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res 22:465–475PubMed

MacDermid JC, Roth JH, Richards RS (2003) Pain and disability reported in the year following a distal radius fracture: a cohort study. BMC Musculoskelet Disord 4:24PubMedCentralPubMed

U.S. Department of Health and Human Services (2004) Bone health and osteoporosis: a report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Office of the Surgeon General

Stafford RS, Drieling RL, Hersh AL (2004) National trends in osteoporosis visits and osteoporosis treatment, 1988-2003. Arch Intern Med 164:1525–1530PubMed

Nguyen TV, Center JR, Eisman JA (2004) Osteoporosis: underrated, underdiagnosed and undertreated. Med J Aust 180:S18–S22PubMed

Vestergaard P, Rejnmark L, Mosekilde L (2005) Osteoporosis is markedly underdiagnosed: a nationwide study from Denmark. Osteoporos Int 16:134–141PubMed

Leslie WD, Schousboe JT (2011) A review of osteoporosis diagnosis and treatment options in new and recently updated guidelines on case finding around the world. Curr Osteoporos Rep 9:129-140.

CMS Medicare Physician Fee Schedule: http://www.cms.gov/apps/physician-fee-schedule/

10.

Nayak S, Edwards DL, Saleh AA, Greenspan SL (2014) Performance of risk assessment instruments for predicting osteoporotic fracture risk: a systematic review. Osteoporos Int 25:23-49

11.

Adler RA, Tran MT, Petkov VI (2003) Performance of the osteoporosis self-assessment screening tool for osteoporosis in American men. Mayo Clin Proc 78:723–727PubMed

12.

Anders ME (2006) In: Turner L (ed) Evaluation of clinical decision rules for bone mineral density testing in a nationally representative sample. University of Arkansas, United States

13.

Anders ME, Turner LW, Wallace LS, Spencer HJ, Simpson DD (2006) Predictive accuracy of two cut scores for the Osteoporosis Self-Assessment Tool in a nationally representative sample of men. Osteoporos Int 17:960

14.

Ben Sedrine W, Ethgen O, Devogelaer J-P, Depresseux G, Kaufman J-M, Goemaere S, Reginster J-Y (2004) Evaluation of proposals of Belgian Social Security Institute for reimbursement of bone densitometry tests. Toward a cost-effective strategy for osteoporosis screening? Aging Clin 16:413–419

15.

Ben Sedrine W, Devogelaer JP, Kaufman JM, Goemaere S, Depresseux G, Zegels B, Deroisy R, Reginster JY (2001) Evaluation of the simple calculated osteoporosis risk estimation (SCORE) in a sample of white women from Belgium. Bone 29:374–380PubMed

16.

Brand C, Lowe A, Hall S (2008) The utility of clinical decision tools for diagnosing osteoporosis in postmenopausal women with rheumatoid arthritis. BMC Musculoskelet Disord 9:13PubMedCentralPubMed

17.

Brenneman SK, Lacroix AZ, Buist DSM, Chen YT, Abbott Iii TA (2003) Evaluation of decision rules to identify postmenopausal women for intervention related to osteoporosis. Dis Manage 6:159–168

18.

Cadarette SM, Jaglal SB, Murray TM, McIsaac WJ, Joseph L, Brown JP, Canadian Multicentre Osteoporosis S (2001) Evaluation of decision rules for referring women for bone densitometry by dual-energy x-ray absorptiometry. JAMA 286:57–63PubMed

19.

Cadarette SM, McIsaac WJ, Hawker GA, Jaakkimainen L, Culbert A, Zarifa G, Ola E, Jaglal SB (2004) The validity of decision rules for selecting women with primary osteoporosis for bone mineral density testing. Osteoporos Int 15:361–366PubMed

20.

Cadarette SM, Jaglal SB, Murray TM (1999) Validation of the Simple Calculated Osteoporosis Risk Estimation (SCORE) for patient selection for bone densitometry. Osteoporos Int 10:85–90PubMed

21.

Cass AR, Shepherd AJ (2013) Validation of the Male Osteoporosis Risk Estimation Score (MORES) in a primary care setting. J Am Board Fam Med JABFM 26:436–444

22.

Cass AR, Shepherd AJ, Carlson CA (2006) Osteoporosis risk assessment and ethnicity: validation and comparison of 2 clinical risk stratification instruments. J Gen Intern Med 21:630–635PubMedCentralPubMed

23.

Chan SP, Yeap SS, Hew FL, Chee SS, Zaitun Y, Daurio C, Ross PD (2003) The osteoporosis self-assessment tool for Asians (OSTA): validation in Malaysia. Bone 32:S176

24.

Chan SP, Teo CC, Ng SA, Goh N, Tan C, Deurenberg-Yap M (2006) Validation of various osteoporosis risk indices in elderly Chinese females in Singapore. Osteoporos Int 17:1182–1188PubMed

25.

Chang SFY, RS (2013) Determining the cut-off point of osteoporosis based on the osteoporosis self-assessment tool, body mass index and weight in Taiwanese young adult women. J Clin Nurs 23:2628–2636

26.

Chaovisitsaree S, Namwongprom SAN, Morakote N, Suntornlimsiri N, Piyamongkol W (2007) Comparison of osteoporosis self assessment tool for Asian (OSTA) and standard assessment in menopause clinic, Chiang Mai. J Med Assoc Thai 90:420–425PubMed

27.

Cons Molina F, Moroyoqui Navarro LA, García Agramont M, Searcy B (1998) Validación en español de un instrumento de pre-escrutinio para la detección de masa ósea baja en mujeres posmenopáusicas: índice SCORE / SCORE Index ia pre-screening questionary used in post-menopausal women in risk of low bone mass. Rev Mex Reumatol 13:135–143

28.

Cook RB, Collins D, Tucker J, Zioupos P (2005) Comparison of questionnaire and quantitative ultrasound techniques as screening tools for DXA. Osteoporos Int 16:1565–1575PubMed

29.

Crandall CJ, Larson J, Gourlay ML, Donaldson MG, LaCroix A, Cauley JA, Wactawski-Wende J, Gass ML, Robbins JA, Watts NB, Ensrud KE (2014) Osteoporosis screening in postmenopausal women 50 to 64 years old: comparison of US Preventive Services Task Force strategy and two traditional strategies in the Women's Health Initiative. J Bone Min Res 29:1661–1666

30.

De Ceulaer F, Hanssens L, Tancredi A, Bruyere O, Richy F, Pire G, Maassen P, Reginster JY (2003) Evaluation of the osteoporosis self-assessment tool (OST) as a screening test for osteoporosis and osteopenia in men. Osteoporos Int 14:S93

31.

Delialioglu SU, Kaya K, Ozisler Z, Ozel S (2009) Performance of risk assessment indices for the prediction of Postmenopausal Osteoporosis. Osteoporoz Dunyasindan 15:21–25

32.

El Maghraoui A, Habbassi A, Ghazi M, Achemlal L, Mounach A, Nouijai A, Bezza A (2006) Validation and comparative evaluation of four osteoporosis risk indexes in Moroccan menopausal women. Arch Osteoporos 1:1–6PubMedCentral

33.

Espinosa V, Riedemann P, Bustos L, Alvarado M, Fulgeri V, Pena N, Sanhueza D (2010) Evaluation of screening tests for detection of risk of osteoporosis and its combination with heel ultrasound in Chilean women over 50 years. JCR-J Clin Rheumatol 16:S8

34.

Falasca GF, Dunston C, Banglawala YA (2003) Further validation of a questionnaire to identify women likely to have low bone density. J Clin Densitom 6:231–236PubMed

35.

Fransiska Y, Tiksnadi B, Chaidir R, Ismiarto YD (2012) The male osteoporosis risk estimation score and the osteoporosis self-assessment screening tool for Indonesian men. J Orthop Surg 20:205–208

36.

Fujiwara S, Masunari N, Suzuki G, Ross PD (2001) Performance of osteoporosis risk indices in a Japanese population. Curr Ther Res Clin Exp 62:586–594

37.

Gambacciani M, Genazzani AR (2004) Comparison of osteoporosis screening tools the heel ultrasound measurement versus the calculated risk assessment tool. Calcif Tissue Int 74:S98

38.

Gaugris S, Tenenhouse A, Desjardin B et al (2005) Validating the Osteoporosis Self-Assessment Tool (OST) in Canada [Abstract]. Osteoporos Int 16(Suppl 3):S18

39.

Geater S, Leelawattana R, Geater A (2004) Validation of the OSTA index for discriminating between high and low probability of femoral neck and lumbar spine osteoporosis among Thai postmenopausal women. J Med Assoc Thai 87:1286–1292PubMed

40.

Geusens P, Dumitrescu B, van Geel T, van Helden S, Vanhoof J, Dinant GJ (2008) Impact of systematic implementation of a clinical case finding strategy on diagnosis and therapy of postmenopausal osteoporosis. J Bone Miner Res 23:812–818PubMed

41.

Geusens P, Hochberg MC, van der Voort DJM, Pols H, van der Klift M, Siris E, Melton ME, Turpin J, Byrnes C, Ross P (2002) Performance of risk indices for identifying low bone density in postmenopausal women. Mayo Clin Proc 77:629–637PubMed

42.

Ghazi M, Mounach A, Nouijai A, Ghozlani I, Bennani L, Achemlal L, Bezza A, El Maghraoui A (2007) Performance of the osteoporosis risk assessment tool in Moroccan men. Clin Rheumatol 26:2037–2041PubMed

43.

Gomez-Vaquero C, Martinez Aguila D, Rozadilla A, Romera M, Narvaez J, Nolla JM (2007) Evaluation of two proposals based on clinical factors for selecting what male patients with rheumatoid arthritis should undergo a bone densitometry. Reumatol Clin 3:63–66PubMed

44.

Gonzalez-Lopez L, Gamez-Nava JI, Vega-Lopez A, Rodriguez-Jimenez NA, Gonzalez-Montoya N, Aguilar-Chavez E, Alcaraz-Lopez MF, Rocha-Munoz AD, Castro-Lizano N, Morales-Romero J, Salazar-Paramo M, Suarez-Almazor ME (2012) Performance of risk indices for identifying low bone mineral density and osteoporosis in Mexican Mestizo women with rheumatoid arthritis. J Rheumatol 39:247–253PubMed

45.

Gourlay ML, Powers JM, Lui LY, Ensrud KE (2008) Clinical performance of osteoporosis risk assessment tools in women aged 67 years and older. Osteoporos Int 19:1175–1183PubMedCentralPubMed

46.

Gourlay ML, Miller WC, Richy F, Garrett JM, Hanson LC, Reginster J-Y (2005) Performance of osteoporosis risk assessment tools in postmenopausal women aged 45-64 years. Osteoporos Int 16:921–927PubMed

47.

Haugeberg G, Orstavik RE, Uhlig T, Falch JA, Halse JI, Kvien TK (2002) Clinical decision rules in rheumatoid arthritis: do they identify patients at high risk for osteoporosis? Testing clinical criteria in a population based cohort of patients with rheumatoid arthritis recruited from the Oslo Rheumatoid Arthritis Register. Ann Rheum Dis 61:1085–1089PubMedCentralPubMed

48.

Hawker G, Mendel A, Lam MA, Akhavan PS, Cancino-Romero J, Waugh E, Jamal S, Mian S, Jaglal S (2012) A clinical decision rule to enhance targeted bone mineral density testing in healthy mid-life women. Osteoporos Int 23:1931–1938PubMed

49.

Hochberg MC, Tracy JK, van der Klift M, Pols H (2002) Validation of a risk index to identify men with an increased likelihood of osteoporosis. J Bone Miner Res 17:SA95

50.

Hochberg MC, Thompson DE, Ross PD (2002) Validation of a simple clinical risk index to identify postmenopausal Asian women with osteoporosis: the osteoporosis self-assessment tool for Asians (OSTA). Osteoporos Int 13:S115

51.

Hochberg MC, Thompson DE, Ross PD (2002) Validation of risk indices to identify postmenopausal women with an increased likelihood of osteoporosis. Osteoporos Int 13:S111

52.

Horner K, Devlin H, Harvey L (2002) Detecting patients with low skeletal bone mass. J Dent 30:171–175PubMed

53.

Horner K, Karayianni K, Mitsea A, Berkas L, Mastoris M, Jacobs R, Lindh C, van der Stelt P, Marjanovic E, Adams J, Pavitt S, Devlin H (2007) The Mandibular Cortex on Radiographs as a Tool for Osteoporosis Risk Assessment: the OSTEODENT Project. J Clin Densitom 10:138–146PubMed

54.

Jimenez-Nunez FG, Manrique-Arija S, Urena-Garnica I, Romero-Barco CM, Panero-Lamothe B, Descalzo MA, Carmona L, Rodriguez-Perez M, Fernandez-Nebro A (2013) Reducing the need for central dual-energy X-ray absorptiometry in postmenopausal women: efficacy of a clinical algorithm including peripheral densitometry. Calcif Tissue Int 93:62–68PubMed

55.

Junior PDP Jr, Chahade WH (2007) Risk factors associated to osteoporosis in Brazilian Women from sao Jose do Rio Pardo, Sao Paulo. Rev Bras Reumatol 47:16–24

56.

Kamondetdecha R, Panyakhamlerd K, Chaikittisilpa S, Chaiwatanarat T, Tepmongkol S, Taechakraichana N (2013) Value of Osteoporosis Self-assessment Tools for Asians (OSTA) with or without Brown's clinical risk factors in detection of postmenopausal osteoporosis. Climacteric 16:127–132PubMed

57.

Karkucak M, Capkin E, Kerimoglu S, Serdaroglu M, Topbas M, Yildiz H, Guler M (2008) Performance of simple calculated osteoporosis risk estimation in a sample of women with suspected osteoporosis in the Turkish population. Rheumatol Int 28:825–830PubMed

58.

Koh LKH, Ben Sedrine W, Torralba TP, Kung A, Fujiwara S, Chan SP, Huang QR, Rajatanavin R, Tsai KS, Park HM, Reginster JY (2001) A simple tool to identify Asian women at increased risk of osteoporosis. Osteoporos Int 12:699–705PubMed

59.

Kung AWC, Ho AYY, Sedrine WB, Reginster JY, Ross PD (2003) Comparison of a simple clinical risk index and quantitative bone ultrasound for identifying women at increased risk of osteoporosis. Osteoporos Int 14:716–721PubMed

60.

Kyaw T, Naing S, Mallios R, McFarland S, Cohen A, Huang J (2010) Application of osteoporosis screening tools in males among VA patients. J Gen Intern Med 25:S223

61.

Lauwerier D, Hoet H, Roman E, De Boever E, Zmierczak H, Goemaere S (2002) Prescreening of postmenopausal osteoporosis with ultrasound measurements and a risk questionnaire in primary care: a critical evaluation. Tijdschrift voor Geneeskunde 58:1107–1113

62.

Leeangkoonsathian E, Boonyanuruk P, Pongchaiyakul C, Panichkul S (2012) Validate of clinical risk index for osteoporosis in Thai women at Phramongkutklao Hospital. J Med Assoc Thail 95:487–492

63.

Lerttrakul S, Soontrapa S (2005) Modified OSTA index for referring women for DEXA measurement. J Med Assoc Thai 88(Suppl 5):S80–S83PubMed

64.

Leslie WD, Lix LM, Johansson H, Oden A, McCloskey E, Kanis JA, Program MBD (2013) Selection of women aged 50-64 yr for bone density measurement. J Clin Densitom 16:570–578PubMed

65.

Lesnyak Y, Ershova O, Menshikova L, Lesnyak O (2003) Performance of the osteoporosis risk assessment tool (OST) in Russian women. Osteoporos Int 14:S53

66.

Li-Yu JT, Llamado LJQ, Torralba TP (2005) Validation of OSTA among Filipinos. Osteoporos Int 16:1789–1793PubMed

67.

Li YM (2008) Concordance of a self assessment tool and measurement of bone mineral density in identifying the risk of osteoporosis in elderly Taiwanese women. Tzu Chi Med J 20:206–212

68.

Liu MY, Li CL, Pei Y, Xiao YJ, Zhang Y, Cheng XL (2011) Diagnostic values of self-assessment tool for Asians for osteoporosis in aged men. Chung-Hua i Hsueh Tsa Chih [Chin Med J] 91:2112–2115

69.

Liu M, Zhang Y, Cheng X, Lu Y, Li N, Gong Y, Pei Y, Li C (2014) The effect of age on the changes in bone mineral density and osteoporosis detection rates in Han Chinese men over the age of 50. Aging Male 17:166–173PubMed

70.

Lu C, Chen D, Cai Y, Wei S (2006) Concordane of OSTA and lumbar spine BMD by DXA in identifying risk of osteoporosis. J Orthop Surg 1:14PubMedCentral

71.

Lynn HS, Woo J, Leung PC, Barrett-Connor EL, Nevitt MC, Cauley JA, Adler RA, Orwoll ES (2008) An evaluation of osteoporosis screening tools for the osteoporotic fractures in men (MrOS) study. Osteoporos Int 19:1087–1092PubMed

72.

Machado P, da Silva JAP (2008) Performance of decision algorithms for the identification of low bone mineral density in Portuguese postmenopausal women. Acta Reumatol 33:314–328

73.

Machado P, Coutinho M, da Silva JAP (2010) Selecting men for bone densitometry: performance of osteoporosis risk assessment tools in Portuguese men. Osteoporos Int 21:977–983PubMed

74.

Martinez-Aguila D, Gomez-Vaquero C, Rozadilla A, Romera M, Narvaez J, Nolla JM (2007) Decision rules for selecting women for bone mineral density testing: application in postmenopausal women referred to a bone densitometry unit. J Rheumatol 34:1307–1312PubMed

75.

Mauck KF, Cuddihy MT, Atkinson EJ, Melton Iii LJ (2005) Use of clinical prediction rules in detecting osteoporosis in a population-based sample of postmenopausal women. Arch Intern Med 165:530–536PubMed

76.

Mellstrom D, Rubinsky S, Waern E, Sen SS (2003) Validating the osteoporosis self-assessment tool (OST) in Sweden. Osteoporos Int 14:S80

77.

Mittal N, Ridella M, Felton C, Xu T (2011) Performance of screening tools in diagnosing osteoporosis in postmenopausal Mexican American women. J Invest Med 59:606

78.

Morin S, Tsang JF, Leslie WD (2009) Weight and body mass index predict bone mineral density and fractures in women aged 40 to 59 years. Osteoporos Int 20:363–370PubMed

79.

Mossman EA, Grinnell NC, Cole L, Osborn KL, McClung MR (2002) Screening methods for DXA referral: the Osteoporosis Self-Assessment Tool for Asians and quantitative ultrasound sonography. Osteoporos Int 13:P60

80.

Mossman EA, Luckey M, McClung MR (2003) The osteoporosis self-assessment tool (OST) performs differently in younger versus older postmenopausal women. J Bone Miner Res 18:S358

81.

Mottaghi P, Karimifar M, Salesi M, Mehrabi A (2010) Osteoporosis screening tools in Iranian postmenopausal women. Iran Red Crescent Med J 12:122–126

82.

Oh SM, Nam BH, Rhee Y, Moon SH, Kim DY, Kang DR, Kim HC (2013) Development and validation of osteoporosis risk-assessment model for Korean postmenopausal women. J Bone Min Metab 31:423–432

83.

Pang WY, Inderjeeth CA (2014) FRAX without bone mineral density versus osteoporosis self-assessment screening tool as predictors of osteoporosis in primary screening of individuals aged 70 and older. J Am Geriatr Soc 62:442–446PubMed

84.

Panichyawat N, Tanmahasamut P (2012) Comparison of OSTA index and KKOS scoring system for prediction of osteoporosis in postmenopausal women who attended Siriraj Menopause Clinic. J Med Assoc Thail 95:1365–1371

85.

Park HM, Ben Sedrine W, Reginster JY, Ross PD (2003) Korean experience with the OSTA risk index for osteoporosis: a validation study. J Clin Densitom 6:247–250PubMed

86.

Perez-Castrillon JL, Sagredo MG, Conde R, del Pino-Montes J, de Luis D (2007) OST risk index and calcaneus bone densitometry in osteoporosis diagnosis. J Clin Densitom 10:404–407PubMed

87.

Pongchaiyakul C, Nguyen ND, Eisman JA, Nguyen TV (2005) Clinical risk indices, prediction of osteoporosis, and prevention of fractures: diagnostic consequences and costs. Osteoporos Int 16:1444–1450PubMed

88.

Pongchaiyakul C, Panichkul S, Songpatanasilp T (2007) Combined clinical risk indices with quantitative ultrasound calcaneus measurement for identifying osteoporosis in Thai postmenopausal women. J Med Assoc Thai 90:2016–2023PubMed

89.

Pongchaiyakul C, Wanothayaroj E (2007) Performance of the Khon Kaen Osteoporosis Study (KKOS) score for identifying osteoporosis in men. J Med Assoc Thai 90:1518–1523PubMed

90.

Reginster JY, Ben Sedrine W, Viethel P, Micheletti MC, Chevallier T, Audran M (2004) Validation of OSIRIS, a prescreening tool for the identification of women with an increased risk of osteoporosis. Gynecol Endocrinol 18:3–8PubMed

91.

Richards J, Lazzari AA, Qualler DA, Desale S, Howard R, Kerr GS (2014) Validation of the osteoporosis self-assessment tool in US male veterans. J Clin Densitom 17:32–37

92.

Richards JS, Peng J, Amdur RL, Mikuls TR, Hooker RS, Michaud K, Reimold AM, Cannon GW, Caplan L, Johnson D, Hines AE, Kerr GS (2009) Dual-energy X-ray absorptiometry and evaluation of the osteoporosis self-assessment tool in men with rheumatoid arthritis. J Clin Densitom 12:434–440PubMed

93.

Richards JS, Lazzari AA, Amdur RL, Teves DA, Howard R, Davis SA, Dussault P, Stukes DL, Coote-Johnson S, Howard H, Liu FM, Kerr GS (2008) The osteoporosis self assessment tool in US male veterans. Arthritis Rheum 58:S745

94.

Richy F, Gourlay M, Ross PD, Sen SS, Radican L, De Ceulaer F, Ben Sedrine W, Ethgen O, Bruyere O, Reginster JY (2004) Validation and comparative evaluation of the osteoporosis self-assessment tool (OST) in a Caucasian population from Belgium. QJM 97:39–46PubMed

95.

Rud B, Abrahamsen B, Rejnmark L, Jensen JB (2005) How does estrogen use in early postmenopausal women affect the diagnostic performance of the osteoporosis self-assessment tool and quantitative ultrasonography? Bone 36:S345

96.

Rud B, Jensen JEB, Mosekilde L, Nielsen SP, Hilden J, Abrahamsen B (2005) Performance of four clinical screening tools to select peri- and early postmenopausal women for dual X-ray absorptiometry. Osteoporos Int 16:764–772PubMed

97.

Russell AS, Morrison RT (2001) An assessment of the new “SCORE” index as a predictor of osteoporosis in women. Scand J Rheumatol 30:35–39PubMed

98.

Saetung S, Ongphiphadhanakul B, Rajatanavin R (2008) The relationship of an Asian-specific screening tool for osteoporosis to vertebral deformity and osteoporosis. J Bone Miner Metab 26:47–52PubMed

99.

Saravi FD, Riveros OP, Andrada MA, Ortiz PF (2007) Osteoporosis self-assessment tool performance in postmenopausal women of Mendoza, Argentina. Bone 41:S9

100.

Saravi FD (2013) Osteoporosis self-assessment tool performance in a large sample of postmenopausal women of Mendoza, Argentina. J Osteoporos 2013:150–154

101.

Scholtissen S, Guillemin F, Bruyere O, Collette J, Dousset B, Kemmer C, Culot S, Cremer D, Dejardin H, Hubermont G, Lefebvre D, Pascal-Vigneron V, Weryha G, Reginster JY (2009) Assessment of determinants for osteoporosis in elderly men. Osteoporos Int 20:1157–1166PubMed

102.

Sen SS, Rives VP, Pharm D, Frisoli A, Neto JFM (2003) Validating the OsteoRisk, an osteoporosis risk assessment tool for Latin America, in Brazil. Osteoporos Int 14:S60

103.

Sen SS, Geling O, Ross PD, Reid I (2002) Validating the osteoporosis self-assessment tool in New Zealand. Osteoporos Int 13:P77

104.

Shan LP, Bee OF, Suniza SS, Adeeb N (2011) Developing a Malaysian Osteoporosis Screening Tool (MOST) for early osteoporosis detection in Malaysian women. Sex Reprod Healthc 2:77–82PubMed

105.

Shepherd AJ, Cass AR, Ray L (2010) Determining risk of vertebral osteoporosis in men: validation of the male osteoporosis risk estimation score. J Am Board Fam Med 23:186–194PubMed

106.

Sinnott B, Kukreja S, Barengolts E (2006) Utility of screening tools for the prediction of low bone mass in African American men. Osteoporos Int 17:684–692PubMed

107.

Sybrowsky CL, Skedros JG (2004) Comparison of the OST Versus a Typical Risk-Factor Questionnaire Evaluating Osteoporosis in Men. J Bone Miner Res 19:S164

108.

Taguchi A, Suei Y, Sanada M, Ohtsuka M, Nakamoto T, Sumida H, Ohama K, Tanimoto K (2004) Validation of dental panoramic radiography measures for identifying postmenopausal women with spinal osteoporosis. AJR Am J Roentgenol Am J Roentgenol 183:1755–1760

109.

Tanprasertkul C, Wattanaruangkowit P, Panyakhamlerd K (2010) The combination of body mass index and age as a new index for identifying osteoporosis in Thai postmenopausal women. J Med Assoc Thai 93(Suppl 7):S76–S82PubMed

110.

Vilaseca RD, Garcia VC, Boncompte Vilanova PM, Lopez MJ, Garcia CC, Baures RM, on behalf of the densitometry referral study group (2011) Sensitivity, specificity, positive and negative predictive values of the criteria for indicating a bone densitometry in the evaluation of medical techniques and research in Cataluna. Reumatol Clin 7:161–166

111.

Wallace LS, Ballard JE, Holiday D, Turner LW, Keenum AJ, Pearman CM (2004) Evaluation of decision rules for identifying low bone density in postmenopausal African-American women. J Natl Med Assoc 96:290–296PubMedCentralPubMed

112.

Whelan BR, Falvey E, O'Dwyer D, Daly M, Drummond F, Shanahan F, Molloy MG (2005) Selection of men for osteoporosis screening using DXA - A comparison of four assessment tools. Arthritis Rheum 52:1982

113.

Whelan BR, Falvey E, Daly M, Crowley M, Shanahan F, Harney S, Molloy MG (2006) Use of the Osteoporosis Self Assessment Tool (OST) in pre- and post-menopausal women - Setting cutoffs for risk of osteoporosis. Rheumatology (Oxford) 45:I24–I25

114.

Yang Y, Wang B, Fei Q, Meng Q, Li D, Tang H, Li J, Su N (2013) Validation of an osteoporosis self-assessment tool to identify primary osteoporosis and new osteoporotic vertebral fractures in postmenopausal Chinese women in Beijing. BMC Musculoskelet Disord 14:271PubMedCentralPubMed

115.

Yaraman N, Celik C, Karaoglan B (2003) Using of “score” index for osteoporosis in postmenopausal women. J Rheumatol Med Rehabil 14:2–8

116.

Yeoum SG, Lee JH (2011) Usefulness of estimated height loss for detection of osteoporosis in women. J Korean Acad Nurs 41:758–767PubMed

117.

Zha XY, Hu Y, Pang XN, Chang GL, Li L (2014) Diagnostic value of Osteoporosis Self-Assessment Tool for Asians (OSTA) and quantitative bone ultrasound (QUS) in detecting high-risk populations for osteoporosis among elderly Chinese men. J Bone Miner Metab

118.

Zimering MB, Shin JJ, Shah J, Wininger E, Engelhart C (2007) Validation of a novel risk estimation tool for predicting low bone density in Caucasian and African American men veterans. J Clin Densitom 10:289–297PubMed

119.

Cummings SR, Bates D, Black DM (2002) Clinical use of bone densitometry: scientific review. JAMA 288:1889–1897PubMed

120.

Duncan IG (2011) Healthcare Risk Adjustment and Predictive Modeling. ACTEX Publications

121.

Rubin KH, Friis-Holmberg T, Hermann AP, Abrahamsen B, Brixen K (2013) Risk assessment tools to identify women with increased risk of osteoporotic fracture: complexity or simplicity? A systematic review. J Bone Miner Res 28:1701–1717

122.

Nelson HD, Haney EM, Dana T, Bougatsos C, Chou R (2010) Screening for osteoporosis: an update for the U.S. Preventive Services Task Force. Ann Intern Med 153:99–111

123.

Rud B, Hilden J, Hyldstrup L, Hrobjartsson A (2009) The Osteoporosis Self-Assessment Tool versus alternative tests for selecting postmenopausal women for bone mineral density assessment: a comparative systematic review of accuracy. Osteoporos Int 20:599–607PubMed

124.

D’Agostino RB, Grundy S, Sullivan LM, Wilson P (2001) Validation of the Framingham coronary heart disease prediction scores: results of a multiple ethnic groups investigation. JAMA 286(2):180–187PubMed

125.

Nayak S, Roberts MS, Greenspan SL (2011) Cost-effectiveness of different screening strategies for osteoporosis in postmenopausal women. Ann Intern Med 155:751–761

126.

Ito K, Hollenberg JP, Charlson ME (2009) Using the osteoporosis self-assessment tool for referring older men for bone densitometry: a decision analysis. J Am Geriatr Soc 57:218–224PubMed

Titel: Systematic review and meta-analysis of the performance of clinical risk assessment instruments for screening for osteoporosis or low bone density
verfasst von: S. Nayak
D. L. Edwards
A. A. Saleh
S. L. Greenspan
Publikationsdatum: 01.05.2015
Verlag: Springer London
Erschienen in: Osteoporosis International / Ausgabe 5/2015
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI: https://doi.org/10.1007/s00198-015-3025-1

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

23.04.2024 | Leitsymptom Rückenschmerzen | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Systematic review and meta-analysis of the performance of clinical risk assessment instruments for screening for osteoporosis or low bone density

Abstract

Summary

Introduction

Methods

Results

Conclusions

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Summary

Introduction

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2015

Persistent hypovitaminosis D and loss of hip bone mineral density over time as additional risk factors for recurrent falls in a population-based prospective cohort of elderly persons living in the community. The São Paulo Ageing & Health (SPAH) Study

Fracture incidence in a large cohort of men age 30 years and older with osteoporosis

Bisphosphonate therapy: how long is long enough?

Cortisol and the muscle-bone axis: response to comments by Molfino et al.

Sex-specific differences in progressive glucose intolerance and hip geometry: the Baltimore Longitudinal Study of Aging

Bone mineral density in patients with symptoms suggestive of spondyloarthritis

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Update Orthopädie und Unfallchirurgie